Leg Anterior Compartment Syndrome Following Ankle Arthroscopy After Maisonneuve Fracture

Effect of Arthroscopic Evaluation of Acute Ankle Fractures on PROMIS Intermediate-Term Functional Outcomes

“…There were no incidences of compartment syndrome secondary to fluid extravasation from arthroscopy, which is a recognized complication in the setting of acute injury. 10 We also did not find an association between use of ankle arthroscopy and patient-reported residual dorsal foot numbness. Lastly, we found that the addition of arthroscopy added only minimal operative time (15 minutes) to the operative treatment of ankle fractures.…”

Safety of Ankle Trans-Syndesmotic Fixation

“…46 In addition, Imade et al 18 reported a case of lower extremity compartment syndrome after treating a Maisonneuve fracture with syndesmosis and interosseous membrane disruption utilizing ankle arthroscopy and syndesmosis screw fixation. In their report, Imade et al 18 reasoned that the compartment syndrome developed due to a synergistic effect related to the local post traumatic tissue conditions and the operative intervention. Therefore due to the marked swelling and increased intracompartmental pres sures that can be associated with ankle syndesmosis injuries, one must be aware that either a traumatic or iatrogenic injury to the PBPA secondary to trans-syndesmotic fixation could potentiate lower extremity compartment syndrome.…”

Arthroscopy-Assisted Surgery for Acute Ankle Fractures: A Systematic Review

“…However, only 1 case of compartment syndrome has ever been reported after AORIF, in the handling of an Maisonneuve fracture. 38 Ekman and Poehling 39 suggested that the risk of true compartment syndrome was low, even with significant fluid extravasation. Even still, the possibility of compartment syndrome during AORIF should always be remembered.…”